SRUTHI SAMALA DO
NPI 1851951123
Internal Medicine - Pulmonary Disease in Carbondale, IL

Q: What is Sruthi Samala's NPI number?

The NPI number for Sruthi Samala is 1851951123. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Q: What is Sruthi Samala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sruthi Samala was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment

305 W JACKSON ST STE 301, CARBONDALE, IL 62901(618) 529-0520(618) 529-0519 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, May 23, 2025, Jul 5, 2019 and 1 more (4 updates tracked since 2019).

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About Sruthi Samala Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRUTHI SAMALA DO (NPI 1851951123) is an individual pulmonary disease provider in Carbondale, Illinois, licensed in Illinois (036159835) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851951123

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameSRUTHI SAMALACredential: DO

Location Address305 W JACKSON ST STE 301Carbondale, IL 62901-1474

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 529-0520

Fax(618) 529-0519

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 18, 2019

Last NPPES UpdateAugust 7, 20254 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1851951123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in IL · 036159835

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

305 W JACKSON ST STE 301, Carbondale, IL 62901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sruthi Samala Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799296471

PECOS Enrollment IDI20250618003756

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOHAIB HASAN SYED MD

Internal Medicine (Pulmonary Disease)